Who is REALLY GOOD with needles? - page 6
Hi, My name is Adria and I am a student, I will be starting clinicals in August. I was wondering if anyone could explain the process of giving shots, drawing blood, and putting in IV's. Also, Can... Read More
Apr 3, '03Occupation: RN Joined: Apr '03; Posts: 16hey you cant be any worse than the student that asked me where the orange was. She thought patients actually ate the orange after you injected it!
Apr 3, '03Joined: Sep '01; Posts: 658Garde-Malade, it's mongrel HTML on here - use the square brackets instead of arrows and it might work a bit better.
Apr 3, '03Occupation: Nurse Manager-LTC Joined: Jan '03; Posts: 2Rule of thumb....remember patients are not "dart boards" even though some of us wish some of them were!
Seriously inject in the manner that you would like to recieve and you won't go wrong.
Apr 14, '03Joined: Apr '03; Posts: 7try chicken breast or chicken thigh with the skin on
But don't sweat it -someone will be with u all the way thru it the first few times
May 12, '03Joined: Apr '03; Posts: 157; Likes: 1Your best experience will be on larger patients who have deeper veins. Do not shy away from them. With the elderly, use a small needle as their skin is thin and could never compare to an orange.
I am a Phlebo working my way through nursing school. I also do IVs and ABGs. To be honest, I hate sticking babies but someone has to do it.
I wish I could see you, I would show you this swooping motion we do with our wrist to ensure that the needle is in correctly.
Latch on to someone who has at least 10 yrs experience and you will learn all that and more.
May 12, '03Occupation: RN in L&D Joined: Nov '01; Posts: 720; Likes: 185with Im's and sub Q its all about technique .. quick dart like motion and good aim + if your giveing an IM in the verteral gludial (sp) site there is a presure pint on the ishial tuberosity ..hold an alchohol pad on it with a littel presure for 30 sec before inj, helps some people others dont nocice a differance.
As fas IV's its all about practice but until then your attitude will help your patient tremendusly. If you acy confident and take your time it will make it easuer for them. Some patients resopnd well to humor so here are a few of my favorite iv stating jokes.
"IV's used to scary me, but now I just close my eyes and it doesnt bother me" patient will close their eyes you say "no not you I meant me see it helps allot" close your eyes.
tell them "dont worry Im an expert" hold the cath in your hand and shake.
ask " have you ever had an IV before" patient says yes, you say "good Im glad one of us has done this before"
useualy their eyes get really wide and then they luagh when they relize you are jokeing, with the tentoin broken you tell them that you are going to do your best and that even though it hurts it will be over quickly and let them know their comfort is a priority to you. I always appoligize when I can tell it really hurt them and that seems to help a littel too.
May 12, '03Joined: May '03; Posts: 6Removed for violation of TOSLast edit by Yeti1313LPN on May 12, '03
May 12, '03Occupation: RN PACU, Private Practice in Massage Therapy & Healing Touch Specialty: Cardiac/Vascular & Healing Touch ; Joined: Apr '03; Posts: 590; Likes: 29I learned the most about sticking from a nurse about 45 years old that was a house supervisor in a rural hospital, so she started allllllll the IV"s! She put her hands on mind let me feel the pop & showed me how to coax up a vein not from slapping the arm but stroking the vein with one finger. I don't use a touniquet usually I just let the gravity do the work! I 'll be forever abliged to my friend Sandra who taught me so much when I was younger!
May 13, '03Occupation: Psych Specialty: 10 year(s) of experience in Med-Surg, Tele, ER, Psych ; Joined: Apr '03; Posts: 227; Likes: 22I was wondering if anyone else would bring up the NO tourniquet, torniquet, turnket, ummm, rubber thing idea. I have found that when a patient has veins that blow easily, I just go in without one if I see one. I also learned that you have to make sure the angle is right and the threading is right. When I got out of school, I could hit a vein, but would go thru it or mess up the threading.
One of the keys to needles is to at least act like you are confident in front of the patient, so that their stress level is lowered. When I walk into a room after a patient has been stuck a few times, I have found that telling him that *I* am the one they call when they can't get an IV tends to make them feel like it will be a successful start. Mind over matter!
May 13, '03Occupation: clinic nurse Specialty: 8 year(s) of experience ; From: US ; Joined: May '03; Posts: 182; Likes: 23About the injection techniques, it is very important that you try not to stress out about it. I know, it is hard not to. The only way to develop a technique, though, is to practice. Every nurse will develop his/her own technique with time, and this is also an important step in getting more comfortable giving injections. You will probably give a few of them with an instructor present while you are still in school. When you start a job, a nurse there should be willing to let you watch her technique, and/or try your own technique with her supervision. In time, you will probably look back and wonder why you ever worried
Dont worry, it will all work out. Some stress is normal, it helps us learn
May 13, '03Occupation: RN PACU, Private Practice in Massage Therapy & Healing Touch Specialty: Cardiac/Vascular & Healing Touch ; Joined: Apr '03; Posts: 590; Likes: 29I like to watch the CRNA's too, they come up with different idea on hard to stick turnips. I saw one gal reverse wrap a large tourney (something they had in the OR) around an arm top to bottom then release it then a vein popped up. It was a worse case scenerio on some one we couldn't find a family member to sign a consent for a central line. it worked, the CRNA got a 22 g in for the person & we got blood from that turnip!!! much kudos to the CRNA's for all the hard work they do!
May 13, '03Occupation: RN Joined: May '03; Posts: 37Like most everyone said Practice--Practice--Practice. I too have had patients either scream before you ever touch them or say they didn't feel a thing---so you never know. Just remember we have all been there at one point and lived through it--and so will you. Good luck!!